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postpartum care to targeted low-income pregnant women through the title XXI State plan. New Jersey is requesting that coverage of these pregnant women be transitioned from its title XXI section 1115 demonstration to the title XXI State plan.
• On June 25, 2009, New Jersey submitted its thirteenth SPA to elect the new option permitted under section 214 of CHIPRA to eliminate the 5-year bar on eligibility and cover certain non-citizen children and pregnant women who are lawfully residing in the United States.
• On June 26, 2009, New Jersey submitted its fourteenth SPA to implement the Express Lane eligibility option for children, as permitted under section 203 of CHIPRA.
• New Jersey submitted its fifteenth SPA on September 25, 2009, to eliminate premiums for children with family incomes above 150 up to and including 200 percent of the FPL, who are covered in its separate CHIP under NJ FamilyCare Plan C, as provided by the New Jersey State Fiscal Year Appropriations Act. Copayments will remain in effect for children in Plan C. Children with family incomes at or below 150 percent of the FPL are already exempt from paying premiums and copayments (NJ FamilyCare Plans A and B).
Children Covered Under Program
• The State reported that 167,009 children were ever enrolled in its program in Federal fiscal year (FFY) 2009.
• New Jersey estimates that an additional 11,000 children will be made eligible in FFY 2010 in Medicaid and CHIP as a result of the CHIPRA section 214 eligibility expansion. Approximately 4000 of these children will be covered in New Jersey’s title XXI Medicaid expansion and separate child health program components and the remainder in Medicaid.
Pregnant Women Covered Under Program
• Enrollment of pregnant women in New Jersey’s title XXI section 1115 demonstration has remained relatively stable. Therefore, New Jersey projects an average monthly enrollment of 90 pregnant women under the title XXI State plan.
• The number of pregnant women ever enrolled in FFY 2009 was 306.
Administration
• The Division of Medical Assistance and Health Services within the New Jersey Department of Human Services administers the program.
Health Care Delivery System
• The existing Medicaid delivery system is used to provide services.